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Individual

CHAUNTEL MONIQUE CHISOLM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
1529 WILLIAMSBRIDGE RD, BRONX, NY 10461-2502
(718) 794-8464
Mailing address
1519 METROPOLITAN AVE, BRONX, NY 10462-6170
(718) 664-0478

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001290
NY

Other

Enumeration date
07/23/2017
Last updated
07/23/2017
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